期刊
BURNS
卷 34, 期 6, 页码 878-884出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.burns.2007.11.018
关键词
expanded flap; reconstruction; head and neck; burn
Tissue expanders have become useful adjuvants in reconstruction after burn. This study reviews experience with of tissue expanders in the treatment of head and neck bums, from April 2002 to February 2007; 82 expanders were used for 72 patients, all of whom underwent reconstruction at least 6 months after complete healing. The only major difference in this study from other techniques was the preoperative approach for selecting flaps and implants. The use is described of tissue expanders to enhance the area and provide suitable tissue for large expanded flaps for reconstruction of the face and neck. This was based on previous laboratory studies demonstrating that large flaps with very narrow pedicles remain well vascularised and can be transposed to cover very large defects. Satisfactory results were achieved after reconstruction in all cases. Tissue expansion, if carefully planned and conducted, is part of the treatment of choice for post-burn reconstruction of the head and neck, allowing an expanded flap suitable for versatile coverage. (C) 2007 Elsevier Ltd and ISBI. All rights reserved.
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